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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MISCARRIAGE - IS IT LIKELY ?

My girlfriend is currently pregnant to someone. Complicated so please dont go there. It was an unwanted pregnancy, a mistake even though its hard to call it that, but she is not able to have an abortion due to beliefs as she sees it as killing a life and it was her mistake in the first place. It now threatens to break us up as I cannot father the child and be with her cos of it. She does love me and I her, we are convinced we should be together but she cant morally have an abortion and Im not strong enough to cope with standing there as she has someone elses child. She has miscarried before. She is now 8 weeks pregnant and experienced cramps in her stomach a few days ago and it lasted most of the day. Late that night she bled quite bright red blood, with clots, one grape sized. Pink disccharge that did smell a little. Not a huge amount of blood but more than just small drops, quarter of a cup. She has had sore thighs and twinges inside vagina. Dark stools. She went to hospital where the baby was still found to have a heartbeat. They gave her an injection of some sort and sent her home for bed rest and said she was high risk of losing baby. The cervix was slightly open but I think they are waiting to see if it closes again. She has been passing urine a lot today. Hormones such as feeling sexually aroused and having sore breasts are all still there and I understand they can be even after a miscarry, so that doesnt tell you much. Can baby still have a heartbeat even after a miscarry? Has anyone any idea as to why the symptoms of a miscarriage yet it doesnt seem to have been this? or has it? or are these very likely to be the signs the start of a miscarriage over the next few days? Any advice is appreciated - nature is about to determine what happens to the rest of our lives. The father has never wanted anything to do with the child and she wants nothing to do with him - the poor kid wouldnt have a supporting father if it was born.
Wed, 9 Feb 2011
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  Anonymous's Response
's  Response
What your girlfriend is undergoing is not really a miscarriage but a state where miscarriage is likely. But since they saw the babies heartbeat there is a good chance that the pregnancy will continue. Like u said..nature alone can determine what happens over the next few days. In case the pregnancy continues, u should ask ure girlfriend to talk to her doctor about what are her chances of having a healthy baby after the bleeding. Quite likely that the course of pregnancy will be complicated n it will affect her health n possibly even the baby's.
  User's Response
Doop's  Response
Hi Mark. Things are actually a little confusing in your girlfriends case. My wife had bleeding at 8 weeks. Baby's heartbeat was present when they first did the USG. She was put on few days bedrest and some medicines. I do not remember the doctors saying anything about her cervix at that time. In her 12th week she again started bleeding, which was profuse and with clots. On ultrasound there was no heartbeat and the doctor said that the fetus had stopped growing after 8 weeks. In your case its a mix of good and bad signs, so I guess u will have to wait and watch. Have they asked u to come for another ultrasound sometime soon?
  User's Response
Doop's  Response
These situations are difficult to deal with mark. I can imagine what u must be going through trying to find answers and information and living in uncertainty each day. I hope you and your partner are able to deal with whatever happens and most importantly are happy together. We are trying for our next chance. From what doctors say and what i have read we have a fairly good chance, but then when ever they say X% chance, you never know whether you will belong in that X% or not. But one does keep hoping for the best.
  User's Response
marksmith's  Response
Hi Doop, i have read of some women having 5/6 miscarriages and still able to have kids. Dont give up! There is heartbeat but the internal cervix is weak from her previous miscarry and they cannot perform a cerclage (a stitch of cervix to keep baby in basically). Im asking if this can possibly re-close, or if later in pregnancy (as its so early at week 8/9) if a cerclage will be done then. When that is done 90 p cent lead to successful births. With a weak and opening internal cervix (they call them incompetent) that is damaged, and so cannot be stitched, I expect I will have to prepare her for the worst (very delicately - but not saying never). It is very rare for an internal cervix once its starts to open to not continue doing so. As the baby increases in size it may be too much for the weak cervix to hold. She remains on bed rest. They liken it to a pressure on a weak point, like a water balloon, that eventually bursts and the live fetus falls through. Horrible thought and moreso if it happens later as i becomes more developed. Natures way i guess. If baby is ok it will be quite amazing - as its very easy to always think the worst will happen for it based just on what you read.
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MISCARRIAGE - IS IT LIKELY ?

What your girlfriend is undergoing is not really a miscarriage but a state where miscarriage is likely. But since they saw the babies heartbeat there is a good chance that the pregnancy will continue. Like u said..nature alone can determine what happens over the next few days. In case the pregnancy continues, u should ask ure girlfriend to talk to her doctor about what are her chances of having a healthy baby after the bleeding. Quite likely that the course of pregnancy will be complicated n it will affect her health n possibly even the baby's.